Individual provider Active NPI

Karly M Desmond, LMSW, LGSW

  • Clinical Social Worker
  • Silver Spring, MD
National Provider Identifier
1366625774
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
076246 Issued in NY
Practice address
8737 Colesville Rd
Suite 700
Silver Spring, MD 20910-3928
Phone
(315) 430-0344
NPI assigned
Dec 7, 2007
Last updated
Sep 2, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 076246 NY Primary
Clinical Social Worker 1041C0700X 13972 MD

Addresses

Primary practice location

8737 Colesville Rd
Suite 700
Silver Spring, MD 20910-3928

Mailing address

2705 Blueridge Ave
Silver Spring, MD 20902-2675
Phone (315) 430-0344

Other identifiers 1

IdentifierTypeStateIssuer
01649605MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13972MDMDClinical Social Worker
076246NYMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251849600000",
    "number": "1366625774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 BLUERIDGE AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209022675",
            "telephone_number": "315-430-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8737 COLESVILLE RD",
            "address_2": "SUITE 700",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103928",
            "telephone_number": "315-430-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESMOND",
        "first_name": "KARLY",
        "middle_name": "M",
        "credential": "LMSW, LGSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-07",
        "last_updated": "2009-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076246",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13972",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01649605",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.